you transfer your steem to Bittrex.com, poloniex.com and sell them for bitcoins which you can cash out directly through numerous ways. Advcash.com for example is a great mastercard solution that let you cash out worldwide where there is an ATM-machine.
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"you transfer your steem to Bittrex.com, poloniex.com"
And even better new - just today - Steem's integration into Shapeshift.io has been announced! (ie- convert them to BTC's, then convert those to cash!) :-)
https://shapeshift.io
edit: here's their announcement right here on steemit.com
https://steemit.com/steemit/@shapeshiftio/official-announcement-shapeshift-has-added-steem-to-the-exchange